IndividualActive
Zachary Reynolds
NPI 1043787468 · Independent Duty Medical Technicians · Scott Afb, IL
Provider details
- NPI number
- 1043787468
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4691 Petty Ct
Scott Afb, IL 62225-6195
Phone: (270) 906-3511
Approximate (ZIP-level) locationGet directions
Mailing address
4691 Petty Ct
Scott Afb, IL 62225-6195
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.